[This matter is found at the end of chapter ii of Maldonado’s book (pp. 25–29), but is transferred to this place as being more appropriate in orderly sequence; he describes the condition of those institutions at the time of writing his book.]
Present condition of the royal hospital of Manila
The new royal hospital being reestablished, and all the expenses necessary for its maintenance being provided for in the royal treasury, for its business management and the assistance of the sick there were allotted a steward, a physician, a surgeon, nurses, and the other servants who were deemed necessary; and for its spiritual administration the discalced religious of the holy order of our holy father St. Francis, in the province of San Gregorio of these islands—which arrangement was approved by a royal decree, dated at Madrid, May 20, 1624. It has continued in this manner up to the present century, when, on account of the lack of religious for the Indian villages dependent on the Franciscans, and other just reasons, they were released from the ministry of the said royal hospital, and the government appointed secular priests as chaplains, with a suitable income. The cost of maintaining the hospital in its present condition is reckoned at 6,841 pesos, thus: The chaplain, steward, and physician, at 300 pesos each; the surgeon, 240;[24] the chief sacristan, three nurses, one assistant surgeon, the keeper of the wardrobe, the cook, and the doorkeeper, each 96 pesos; with this the ordinary expense, 1,368 pesos. [It also requires] 960 cabans of rice, 384 gantas of cocoanut-oil, and 8,400 fowls; also 2,000 pesos, at which amount the provision for medicines is permanently fixed, and 215 pesos besides, which sum is allotted for the cost of wine for mass, wax, and other expenses which are incurred for the titular feast day, which is All Saints’ day. Interments are made in the royal chapel of this garrison, which also has for the year’s expenses 3,220 pesos more, without counting the extraordinary expenses which are necessary during that time in the hospital, for beds, tents, and other needs, and in the royal chapel for ornaments and the other requirements of the divine worship. In the said royal hospital, without a special order from the superior government no other persons are received, whatever their rank may be, besides the officers and soldiers who are in actual service; and, although some mariners resort to this institution—and these are few, on account of the distance of their residence, which is in Cabite—it has not, either, a ward for women. The steward, the chaplain, and the chief sacristan (who usually is a priest) have their residence in the said hospital, and are continually on duty. The physician and the surgeons are present both afternoon and morning, to visit the sick and give prescriptions for what seems necessary. The nurses and the other servants lack the intelligence which is required [in such work], for those who are occupied in it are poor persons, who have no other situations; and, as the employment is arduous, they do not remain long in it. Several high officials, in discussing this matter, have showed their preference that this responsibility should devolve upon our religious. It is certain that the object of that same institution calls for different service, and might also excuse some [further] expense to his Majesty; but as this depends upon the royal command, it has not proceeded beyond mere talk.
The hospital of our religious order—of which mention will be made further on, as not limited to a special class—is a general one, for men and women of all classes; and in this same holy exercise of their ministry is secured the relief and general consolation of the needy who resort to this charity.
Hospital of San Lazaro
Without the walls of Manila is another hospital, with the name of San Lazaro, in which are gathered all those who are stricken by the contagious disease of the same name; it is administered and cared for by the religious of our holy father St. Francis, and his Majesty has assigned to it, by virtue of a royal decree of January 22, 1672, a contribution of 1,187 pesos 4 reals every year—500 pesos in cash, paid from the royal treasury; the rest is the estimated value of 1,500 cabans of rice, 1,500 fowls, 200 light Ilocos blankets, and one arroba of Castilian wine for the holy sacrifice of mass.
Hospital of San Gabriel for the Sangleys
There is also another hospital outside the walls; it is under the protection of St. Gabriel, and in the charge and administration of the religious in the venerable Order of Preachers of the province of the Santissimo Rosario of these islands; it is designed solely for medical treatment for the Chinese (or Sangleys) who reside in this country. For its maintenance at the beginning, there was assigned to it by his Majesty the ferry across the great river which flows between the said hospital and this city; but this allowance ceased at the building of the great bridge which afterward was constructed, and by royal decree of November 26, 1630, the said allowance was commuted to the sum of 2,000 pesos each year, which is paid from the communal chest[25] which the Sangleys themselves maintain.
Hospital of Los Baños
In the village of Los Baños, in the jurisdiction of the province of La Laguna, which is distant five leguas from Manila, was founded another hospital at the account of his Majesty; it was for the convalescent soldiers, on account of the specific properties of the waters of that district, particularly for venereal diseases [Galicos]. But the institution has been steadily declining with the course of time, and at present there remains only one religious from the holy order of our holy father St. Francis, who is assisted from the royal exchequer with 120 pesos a year.